Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $105.20 / $219.33	Professional		$84.16	$105.20	$219.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $205.62 / $237.78	Professional		$157.69	$205.62	$237.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $122.28 / $260.26	Professional		$79.20	$122.28	$260.26
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.00 / $73.77 / $143.90	Professional	26	$48.00	$73.77	$143.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $205.62 / $584.30	Professional		$122.25	$205.62	$584.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.57 / $193.01 / $241.85	Professional		$144.57	$193.01	$241.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $82.74 / $159.44	Professional		$37.85	$82.74	$159.44
United Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $181.68 / $247.57	Professional		$104.67	$181.68	$247.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $176.80 / $208.00	Professional		$139.66	$176.80	$208.00